| NPI | 1013115658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 107357) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 245092) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-12-02 |